WhatAre The Complications From Custom Infraorbital-Malar Implants?

Q: Dr. Eppley, What are your complication and revision rates for infraorbital rim-malar implants? In particular, I am concerned about asymmetry and eyelid retraction. Fyi, I plan to get lateral canthoplasty too. I had emailed you pictures previously, but am not asking for any evaluation with this particular question, just wondering about complications. Thanks.

A:In my extensive experience with custom IOM (infraorbital-Malar) implants, while potential issues of postoperative implant asymmetry and lower eyelid retraction are possible, they are very uncommon and not what constitutes the main reason for revisional surgery with these implants. The by far most common reason for IOm implant revisions are patients whio make their implants too big initially or are too conservative initially and and bigger later. This size issues is what constitutes 90% of all custom IOM implant ‘complications’.

Dr. Barry Eppley

Indianapolis, Indiana